Sagebrush ecosystems support a suite of unique species such as the emblematic greater sage-grouse (Centrocercus urophasianus; sage-grouse) but are under increasing pressure from anthropogenic stressors such as annual grass invasion, conifer encroachment, altered wildfire regimes, and land use change. We examined the ability of an ecosystem-based framework for sagebrush conservation, the sagebrush conservation design (SCD) strategy, and the associated model of sagebrush ecological integrity (SEI), to identify and rank priority habitats for sage-grouse, a sagebrush indicator species. We compared sage-grouse population trends from 1996–2021 across the three ranked SEI categories. We then modeled those trends directly as a function of the same landcover predictors underlying SEI, used the median trend estimates to recategorize the sage-grouse’s range, and used spatial correlation methods to compare our sage-grouse performance categories with those of SEI. Finally, we compared the sage-grouse condition categories, predicted by our landcover-based model, to empirical trends derived from population count data. We found that the SCD and SEI were effective tools for identifying and ranking priority habitats for sage-grouse. Population trends were stable in the core areas identified by SEI but declining in the lower (i.e., growth and other) condition categories. As a result, core areas encompassed an increasingly larger share of the total sage-grouse population in a disproportionately smaller area. Our model supports the general functional relationships between landcover and sage-grouse performance suggested by SEI. We found strong spatial congruence between our categories of predicted sage-grouse population performance, the condition categories of SEI, and empirical trends derived from population count data. Our analysis demonstrates that proactive ecosystem-based approaches to the conservation of the sagebrush biome can help optimize the return on limited conservation resources and benefits for sagebrush obligate species and help reduce some of the real and perceived conflicts inherent in single-species management.